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Maine rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $21,379.62 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $16,595.87 / $32,359.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10